| NPI | 1194827352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08578600) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 218748) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-11-08 |