| NPI | 1750386975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC MD36487) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35078150) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2019-02-21 |