| NPI | 1518377423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R3119) |
| Additional Taxonomies | 2085N0700X (Licence: IL 125064356) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2022-02-15 |