| NPI | 1144386145 |
|---|---|
| Former Name | LARISSA BRAGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 1010) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101258349) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 195) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2021-01-09 |