| NPI | 1033614623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: PA MD481746) |
| Additional Taxonomies | 2085R0001X (Licence: NJ 25MA11866100) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD481746) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-08-30 |