| NPI | 1225422546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X (Licence: NY 331453) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MB11160500) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2024-11-22 |