| NPI | 1699745901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD18243) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 292113) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA06524300) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2022-11-15 |