| NPI | 1043250053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036057254) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01067863A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI L2124242) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI M11728002) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2012-09-20 |