| NPI | 1790164614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NJ 25MA11663300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT209126) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD474841) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA11663300) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2023-01-13 |