| NPI | 1386672921 |
|---|---|
| Former Name | JENNIFER LEE BLUMOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 43703) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX k5258) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-05-13 |