| NPI | 1598198988 |
|---|---|
| Former Name | KELSEY ELIZABETH GUERRESO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 93176) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 60837) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2023-06-27 |