| NPI | 1104004605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 267399) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CT 047516) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA08753300) | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2015-09-14 |