| NPI | 1093013617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA09118600) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A115497) |
| Enumeration Date | 2011-03-06 |
| Last Update Date | 2024-07-08 |