NPI | 1063410959 |
---|---|
Former Name | ANN MARIE BOROFSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X (Licence: PA MD041921L) |
Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: PA MD041921L) |
Enumeration Date | 2005-07-13 |
Last Update Date | 2013-05-03 |