| NPI | 1437416336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0102084) |
| Additional Taxonomies | 2085N0700X (Licence: MD D0102084) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA10341700) | |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2024-11-07 |