| NPI | 1720068737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OS008286L) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: PA OS008286L) |
| 2085B0100X Radiology, Body Imaging (Licence: PA OS008286L) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MB08193800) | |
| 2085N0700X Radiology, Neuroradiology (Licence: NJ 25MB08193800) | |
| 2085B0100X Radiology, Body Imaging (Licence: NJ 25MB08193800) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2016-01-20 |