| NPI | 1760639918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NJ 25MA05950900) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NY 191298) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |