| NPI | 1669513099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA09994800) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 281176) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2018-03-17 |