| NPI | 1023096781 |
|---|---|
| Former Name | RENEE MICHELLE RAIMONDI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: NC 200000394) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200000394) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2012-03-14 |