| NPI | 1912204447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA09008900) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 60261270) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2015-02-25 |