| NPI | 1952356164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 01062170A) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: OH 35082410) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2011-03-02 |