| NPI | 1063656312 |
|---|---|
| Former Name | ERICA AUDREY KINARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: FL TRN13824) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q0358) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2022-03-10 |