| NPI | 1134243611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS10403) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 237879-1) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MB08694500) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-04-19 |