| NPI | 1649652728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2020011852) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036162130) |
| 2085N0904X (Licence: IL 036162130) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2023-02-06 |