| NPI | 1417922006 |
|---|---|
| Former Name | JEANETTE ADELLE FRIEDMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD479630) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MD D40703) |
| 2085R0001X Radiology, Radiation Oncology (Licence: PA BF2640490) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2022-11-29 |