| NPI | 1427054451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: PA MD028288-E) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ MA04968400) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD028288-E) | |
| 2085N0700X (Licence: NJ 25MA04968400) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2012-08-09 |