| NPI | 1316516123 |
|---|---|
| Former Name | SAMANTHA DYROFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: UT 12994436-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021023862) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2022-08-22 |