| NPI | 1457569253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101244055) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA12871600) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 339864) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2025-12-29 |