| NPI | 1942415260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.099013) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2011-00805) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57-011914) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2019-12-11 |