| NPI | 1720068307 |
|---|---|
| Former Name | DONELLA SIMONE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD12003) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 223820) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-07-08 |