| NPI | 1700097011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 43398) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 57008941) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01068094A) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-12-04 |