NPI | 1225039167 |
---|---|
Former Name | JANNELL FRANCINE MANALO DIAZ-HORSLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A78011) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.202750) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2019-12-09 |