| NPI | 1508016684 |
|---|---|
| Former Name | JOMOL ROSA CYRIAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101249455) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101249455) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2013-09-12 |