NPI | 1073952412 |
---|---|
Former Name | CHELSEA SHEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA DO-05183) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101020718) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2019-07-15 |