| NPI | 1861837593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036156567) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD493416) |
| 208D00000X General Practice (Licence: OH 35.127114) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2026-05-14 |