| NPI | 1770089138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 34.016574) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 58.031116) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-06-03 |