NPI | 1659318079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036082899) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: IL 036082899) |
2085B0100X Radiology, Body Imaging (Licence: NY 263148-1) | |
208D00000X General Practice (Licence: NY 263148) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2022-06-24 |