| 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 |