| NPI | 1245271048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA06068500) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NJ 25MA06068500) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: NJ 25MA06068500) | |
| 207ZC0500X Pathology, Cytopathology (Licence: NJ 25MA06068500) | |
| 2085B0100X Radiology, Body Imaging (Licence: NJ 25MA06068500) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2013-04-19 |