| NPI | 1770651416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 095447) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301071754) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 155305) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD0000044768) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2010-07-30 |