| NPI | 1891901070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 256998) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ NA) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2023-07-31 |