| NPI | 1164877510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA09854700) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 278121-1) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-11-09 |