| NPI | 1952530180 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35126716)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.056571)  | 
| Enumeration Date | 2009-07-09 | 
| Last Update Date | 2016-06-24 |