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 |