| NPI | 1821223512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD448286) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E 5938) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA10278100) | |
| Enumeration Date | 2009-05-25 |
| Last Update Date | 2021-12-02 |