| NPI | 1740398809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: NY 245856-1) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: NJ 25MA06496400) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA06496400) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 245856-1) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2010-03-11 |