| NPI | 1659356913 |
|---|---|
| Former Name | JENNIFER ANNE TOMCZUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M0943) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A85035) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 045784) | |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2013-08-16 |