| NPI | 1710183702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: OH 35.092337) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: OH 35092337) |
| 2085B0100X Radiology Body Imaging (Licence: OH 35092337) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2016-03-07 |