| 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 |