| NPI | 1760860829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: IL 036-151606) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 125.067700) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036151606) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2023-12-11 |