| NPI | 1376712737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08669400) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 046555) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 255405) | |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2021-06-22 |