NPI | 1275525594 |
---|---|
Former Name | THERESA MARIE VOGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX K8735) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: TX K8735) |
2085P0229X Radiology, Pediatric Radiology (Licence: TX K8735) | |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: TX K8735) | |
207U00000X Nuclear Medicine (Licence: TX K8735) | |
Enumeration Date | 2005-08-22 |
Last Update Date | 2025-05-09 |