NPI | 1295008274 |
---|---|
Former Name | ERICA WEINBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA11642700) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: PA MD441602) |
Enumeration Date | 2012-02-21 |
Last Update Date | 2023-12-16 |