| NPI | 1356591721 |
|---|---|
| Former Name | DEBORAH ANNE ELGISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 70077) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 070077) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 243854) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2019-03-28 |