| NPI | 1184655375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ MA52932) |
| Additional Taxonomies | 2085N0700X (Licence: NY 154584-1) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 154584-1) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-02-03 |