| NPI | 1962521211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301097925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57011668) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2011-05-11 |