| NPI | 1699157396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 35.141903) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 11741847-1205) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.141903) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2021-10-28 |