| NPI | 1235427857 |
|---|---|
| Former Name | MIRIAM GUVERICH EMERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 46717) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: AZ 46717) |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: AZ 46717) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R72874) | |
| Enumeration Date | 2011-07-17 |
| Last Update Date | 2024-03-07 |