| NPI | 1033347406 |
|---|---|
| Former Name | KATHLEEN BRIGHID WOOTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D74251) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A136337) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2022-06-13 |