NPI | 1649251224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA12400400) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD463373) |
2085R0202X Radiology, Diagnostic Radiology (Licence: ND 10651) | |
Enumeration Date | 2005-11-09 |
Last Update Date | 2025-08-22 |