| NPI | 1942521505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: PA MD447235) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: NJ 25MA09780200) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD447235) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2023-11-17 |