| NPI | 1376544064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA05698400) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD045052L) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C10006307) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2015-10-19 |