| NPI | 1336487289 |
|---|---|
| Former Name | MICHELLE TAMARA WELT DIAMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A129449) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2021-12-08 |