| 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 |