| NPI | 1811209034 |
|---|---|
| Former Name | CHRISTINA M RAGUCKAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS016553) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT013824) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2019-08-19 |