| NPI | 1265635056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA08917100) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: DE C1-0009763) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD424401) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2018-04-02 |