| NPI | 1508245424 |
|---|---|
| Former Name | JOANNA LEIGH SHECHTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 55681) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME168429) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2024-07-26 |