| NPI | 1588646657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: MA 52608) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 52608) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2012-08-01 |