| NPI | 1538541032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036.156219) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.067380) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: RI LP03636) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2021-12-18 |