| NPI | 1104879360 |
|---|---|
| Former Name | MARIBEL U LOCKWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2025-01749) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME76687) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2025-08-18 |