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 |