| NPI | 1457370330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA06503900) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 65039) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD071312L) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-11-19 |