| NPI | 1609137496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA10314400) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 293048-1) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2024-02-22 |