| NPI | 1073545430 |
|---|---|
| Former Name | BETSY S. VICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 5442) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G62380) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2017-12-18 |