| NPI | 1922058635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08745600) |
| Additional Taxonomies | 174400000X Specialist (Licence: DC MD33133) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-06-21 |