| NPI | 1649406117 |
|---|---|
| Former Name | NICOLE DRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 257905) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC MD31750) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2015-01-13 |