| NPI | 1811335524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA10574000) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 273277) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2020-06-15 |