| NPI | 1891926861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.123441) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OH 35.123441) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2015-10-29 |