| NPI | 1982698254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA06633900) |
| Additional Taxonomies | 2085N0904X (Licence: NJ 25MA06633900) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2012-05-29 |