| NPI | 1891249793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036152572) |
| Additional Taxonomies | 2085N0700X (Licence: IL 036.152572) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2025-12-03 |