| NPI | 1598735169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301068761) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA07721200) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ 25MA07721200) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 173145) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 173145) | |
| 2085N0904X (Licence: MI 4301068761) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036103447) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2014-03-18 |