| NPI | 1588686000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036106416) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301080021) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 042-0012213) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2015-06-23 |