| NPI | 1447345665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA04310800) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD054844L) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-12-04 |