NPI | 1982915864 |
---|---|
Former Name | MARIA ANN DEBENEDETTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: UT 9779093-1205) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 9779093-1205) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME111090) | |
Enumeration Date | 2010-06-25 |
Last Update Date | 2022-09-24 |