NPI | 1205812476 |
---|---|
Former Name | MAUREEN MAGUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD25109) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 48171) |
Enumeration Date | 2005-12-20 |
Last Update Date | 2021-09-10 |