| NPI | 1184718272 |
|---|---|
| Former Name | MARISSA ANN CAMRUD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 043571) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME158595) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-01-04 |