| NPI | 1073520664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA07573500) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 240269-1) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2023-11-03 |