| NPI | 1316096233 |
|---|---|
| Former Name | SARA PAGE DANIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D83992) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: NY 252118-1) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT186396) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-07-21 |