| NPI | 1922003383 |
|---|---|
| Former Name | LUCY MASSULLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 34.005937) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34005937M) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2022-10-06 |