NPI | 1265471676 |
---|---|
Other Name | VICTORIA J EDMOND DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME162702) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0087992) |
2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101240073) | |
Enumeration Date | 2006-06-05 |
Last Update Date | 2023-09-05 |