| NPI | 1518385350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA11205400) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD466618) |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2024-08-13 |