| NPI | 1912131152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA09405600) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 228985) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2014-02-06 |