| NPI | 1023247061 |
|---|---|
| Former Name | KIMBERLY RUTH HANLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0011246) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ TBD) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2021-03-13 |