| NPI | 1467899278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-149534) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-9725) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A153355) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2023-11-14 |