| NPI | 1720088958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA07788600) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 183268) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2022-05-09 |