NPI | 1568774818 |
---|---|
Former Name | LAUREN ELIZABETH CETNAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 87556) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301097005) |
2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35128509) | |
Enumeration Date | 2010-07-01 |
Last Update Date | 2022-08-09 |