| NPI | 1336586700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA11680500) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD16173) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 62571) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: RI MD16173) | |
| Enumeration Date | 2013-05-25 |
| Last Update Date | 2023-02-07 |