| NPI | 1275255317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 22DI03062400) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI03062400) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2024-10-17 |