| NPI | 1881686111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036102322) |
| Additional Taxonomies | 2085N0700X (Licence: OR MD27931) |
| 2085N0700X (Licence: IL 036102322) | |
| 2085N0700X (Licence: WA MD60515635) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: AZ 50996) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: IL 036102322) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60515635) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2021-12-27 |