| NPI | 1699984328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MB09112200) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C2-0008575) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD H0070181) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-07-29 |