| NPI | 1730421678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD455287) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 26NJ01010600) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2020-03-23 |