| NPI | 1922146166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 196585) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA06919100) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MA 76105) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2011-04-11 |