| NPI | 1689850489 |
|---|---|
| Other Name | GINA MARIE CONSTANTINE PORTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q5990) |
| Additional Taxonomies | 193400000X Single Specialty (Licence: TX Q5990) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2017-01-25 |