| NPI | 1972705218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IL 036123249) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2008018030) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME148256) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2022-04-13 |