| NPI | 1861819823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA A160545) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.065581) |
| 2085R0001X (Licence: CA A160545) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125065581) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A160545) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2024-04-05 |