| NPI | 1407016587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA11218300) |
| Additional Taxonomies | 2085N0700X (Licence: OK 26490) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2021-09-20 |