| NPI | 1619019114 |
|---|---|
| Former Name | URSULA SYLVIA WIECZERZYNSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301093026) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MI 4301093026) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 228081) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-07-22 |