| NPI | 1801807722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35-086693) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 39804) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-114167) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2012-04-25 |