| NPI | 1790779783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA G88853) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036-086801) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2016-08-10 |