| NPI | 1386677680 |
|---|---|
| Other Name | HAZEL DIANE SARAH ROVNO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA05931600) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD062685L) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-11-16 |