| NPI | 1235235995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA05992200) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL MD-0072209) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: DE C1-0004213) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD-048134-L) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NJ MA59922) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2019-07-10 |