| NPI | 1962692483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR DO218387) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 34010870) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101017374) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2024-03-19 |