| NPI | 1841428992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036140196) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301094378) |
| 208D00000X General Practice (Licence: MI 4301094378) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2021-05-04 |