| NPI | 1457679805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 48355) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY R2399) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 336098828) | |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2019-08-27 |