| NPI | 1770632168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 46017) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08476700) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD431699) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2024-04-15 |