| NPI | 1053398412 |
|---|---|
| Former Name | WENDY ANN THOMAS BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: MI 4301501891) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: VA 0101052989) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301501891) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101052989) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 40286) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-07-29 |