| NPI | 1922099001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: KY 44791) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WV 31286) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: OH 35.144659) | |
| 2085B0100X Radiology Body Imaging (Licence: KY 44791) | |
| Enumeration Date | 2005-10-29 |
| Last Update Date | 2024-05-16 |