| NPI | 1164781068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: NJ 25MA10347300) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 282812) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2023-02-03 |