| NPI | 1295729499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO R8C93) |
| Additional Taxonomies | 2085N0904X (Licence: MO R8C93) |
| 2085N0904X (Licence: IL 036-065522) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-065522) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2008-01-07 |