| NPI | 1992026769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: IL 036153126) |
| Additional Taxonomies | 2085N0700X (Licence: IL 036.153126) |
| 2085N0700X (Licence: PA OS016627) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 63697-21) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2022-08-11 |