| NPI | 1922595438 |
|---|---|
| Former Name | LAURA ANNA TAIEB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 59032) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME167827) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 33887) | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2025-01-09 |