| NPI | 1740714658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NJ 152597) |
| Additional Taxonomies | 374700000X Technician |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2018-01-30 |