| NPI | 1174732051 |
|---|---|
| Former Name | TARA MICHELLE CALABRESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME 109703) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL trn11157) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2012-08-27 |