| NPI | 1376800037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA12836600) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 317027-01) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2026-01-14 |