| NPI | 1821299116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 231636) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2006-01499) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08367500) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2012-09-11 |