| NPI | 1649566829 |
|---|---|
| Former Name | LORI MICHELE HENER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: OH 34.014266) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL OS16627) |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2021-02-15 |