| NPI | 1649448648 |
|---|---|
| Former Name | MARGARITA REVZINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 49098) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 234829) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2019-12-10 |