| NPI | 1235320300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OT010437) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NJ 25MB08741800) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2018-08-13 |