| NPI | 1265418727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA04810600) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: NJ 25MA04810600) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2011-01-11 |