| NPI | 1922036896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ MA64687) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 186347) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2015-04-07 |