NPI | 1760423966 |
---|---|
Other Name | DEBORAH L JESURUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
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 |