| NPI | 1629634993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.083126) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30285) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2025-05-01 |