| NPI | 1841795721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 81412) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.072064) |
| 207R00000X Internal Medicine (Licence: IL 125.072064) | |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2024-08-01 |