| NPI | 1851547533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.120773) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054013) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 258585) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2013-05-15 |