| NPI | 1245523216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: WI 73676) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: IL 036.145280) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 51992) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2021-11-29 |