| NPI | 1275540882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA09073600) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 199159) |
| 2085N0700X Radiology, Neuroradiology (Licence: NJ 25MA09073600) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2012-06-14 |