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 |