| NPI | 1760423966 |
|---|---|
| Other Name | DEBORAH L JESURUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 79542) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA G66972) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2010-03-02 |