| NPI | 1538519079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MB12083100) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX V1622) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2024-06-10 |