| NPI | 1366403149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 226890) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME 011971) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: MA 226890) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: ME 011971) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2012-09-12 |