| NPI | 1184611055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA06530000) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 190626) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2018-02-26 |