| NPI | 1063771889 |
|---|---|
| Former Name | JILL SARA PANOSIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: OR MD187189) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A147451) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2018-08-01 |