| NPI | 1699939520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.138810) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 1656627) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2020-05-08 |