| NPI | 1003161993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 18012) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036146178) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 271057) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2022-07-07 |