NPI | 1437562063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MB10570900) |
Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: NJ 25MB10570900) |
2085R0204X Radiology Vascular & Interventional Radiology (Licence: NJ 25MB10570900) | |
Enumeration Date | 2014-06-11 |
Last Update Date | 2023-10-25 |