| NPI | 1790846772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ MA71419) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 2158081) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |