| NPI | 1992264162 |
|---|---|
| Former Name | LAURE RUTH DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 6965) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 011041) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2025-04-16 |