| NPI | 1699881367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: WI 51867-020) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036-123474) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2005019897) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-01-16 |