| NPI | 1619262474 | 
|---|---|
| Former Name | MEGAN M DRAGONUK | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX V1436) | 
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: TX V1436) | 
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036139531) | |
| Enumeration Date | 2011-06-09 | 
| Last Update Date | 2024-07-15 |