NPI | 1306957212 |
---|---|
Former Name | MARIA H WINNICKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD24085) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00041480) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |