| NPI | 1033177951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08049300) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 231968) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 231968) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ 25MA08049300) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD447116) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2013-08-14 |