| NPI | 1740327121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ MA083138) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA md428944) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-06-05 |