| NPI | 1386770121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA L-228976) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NJ 25MA09110000) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA09110000) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2024-04-12 |