| NPI | 1689168668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036-171121) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WI 74198) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2024-10-21 |