| NPI | 1679133961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist (Licence: NJ 626179) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ 626179) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |