NPI | 1104021401 |
---|---|
Former Name | DENISE MARCHAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO DR.0068859) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: DC MD041527) |
2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101244112) | |
Enumeration Date | 2007-06-18 |
Last Update Date | 2022-07-20 |