| NPI | 1831344019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA06660400) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: IL 036092925) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036092925) | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |