| NPI | 1295034775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA11181800) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 284382) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2025-05-13 |