| NPI | 1639562911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101285257) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 29387) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036164376) | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2025-06-11 |