| NPI | 1285079863 |
|---|---|
| Former Name | NATALIE LAURA AUSBORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TN 62861) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME135156) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2022-03-25 |