| NPI | 1477040350 |
|---|---|
| Former Name | REBECCA NICOLE MANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2023-01142) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC LL82806) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2024-10-16 |