| NPI | 1932170131 |
|---|---|
| Former Name | MARIEL LEIGH COBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 048496) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 21929) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME102334) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2020-09-18 |