NPI | 1063465656 |
---|---|
Former Name | ALISON JEAN NOHARA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WI 69647) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 277137) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 277137) | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2021-07-06 |