| NPI | 1578676680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 189182) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME84359) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: FL ME84359) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2010-07-26 |