NPI | 1831124171 |
---|---|
Former Name | LISA M. ZORN SMEGLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD448515) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 226972) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08983600) | |
Enumeration Date | 2006-07-12 |
Last Update Date | 2018-06-06 |