| NPI | 1710113592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D91141) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036117774) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA11025300) | |
| Enumeration Date | 2009-06-07 |
| Last Update Date | 2021-05-29 |