| NPI | 1669588380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA06564100) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: NJ 25MA06564100) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-11-22 |