| NPI | 1760444210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35092419) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 38928) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 22018) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2018-03-17 |