| NPI | 1083882963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08513900) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 242046) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2011-01-28 |