| NPI | 1003897687 |
|---|---|
| Former Name | HEATHER J ISRAEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 222220) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 043027) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2024-01-17 |