| NPI | 1750136966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 57.261137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R80826) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2026-06-29 |