| NPI | 1467526665 |
|---|---|
| Former Name | RUBY ELLEN OBALDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2008013457) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0431335) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2017-11-16 |