| NPI | 1831170414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA08059300) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CT 043264) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NY 235595) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2007-07-08 |