| NPI | 1629357462 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.151440)  | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD457104)  | 
| Enumeration Date | 2011-08-10 | 
| Last Update Date | 2020-02-12 |