NPI | 1720270200 |
---|---|
Former Name | MONICA URENA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL MA160205) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 002813) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA A116210) | |
Enumeration Date | 2007-08-17 |
Last Update Date | 2023-09-05 |