| NPI | 1154377117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08234200) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NY 234229) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME111042) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 234229) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-06-29 |