| NPI | 1023251832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-130763) |
| Additional Taxonomies | 2085N0700X (Licence: IL 036-130763) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI A300122210467) | |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2022-09-28 |