| NPI | 1730402561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA09559400) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A110619) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 286693) | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2017-01-20 |