| NPI | 1063610558 |
|---|---|
| Former Name | ALICIA ANNE LEVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD445271) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT190667) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2013-06-17 |