| NPI | 1891012662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA09028900) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 256810-1) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2012-09-18 |