| NPI | 1710381900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 304185) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125066020) |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2020-05-01 |