| NPI | 1023022399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0008730) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 243048) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA12503200) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2025-01-07 |