| NPI | 1497068415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA12120400) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: PA MD459290) |
| 2085P0229X Radiology Pediatric Radiology (Licence: PA MD459290) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD459290) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2025-05-14 |