| NPI | 1063832533 |
|---|---|
| Former Name | SARAH M RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA A138349) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A138349) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2021-12-08 |