| NPI | 1780022582 |
|---|---|
| Other Name | LORENNA VIDAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD469966) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MD D83861) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D83861) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2021-11-03 |