| NPI | 1184331522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.155182) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: IL 036.161747) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036161747) | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2026-02-12 |