NPI | 1689709206 |
---|---|
Former Name | LADONNA SIMONEAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: HI 15671) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: HI MD 15671) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2014-08-15 |