| NPI | 1225038854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-088118) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 63988-20) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 29066) | |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2018-05-25 |