| NPI | 1063673671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA09541000) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: AZ 44587) |
| 2085N0904X (Licence: AZ 44587) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: AZ 44587) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2016-12-22 |