| NPI | 1528284155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: WI 75744) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: WI 75744) |
| 2085B0100X Radiology Body Imaging (Licence: IL 036-111415) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036-111415) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-07-29 |