| NPI | 1902868292 |
|---|---|
| Former Name | JESSICA LYNN CHIMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 177033) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: NY 177033) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2008-07-02 |