| NPI | 1922076942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME62176) |
| Additional Taxonomies | 2085U0001X Radiology Diagnostic Ultrasound (Licence: FL ME0062176) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2008-04-01 |