| NPI | 1083857817 |
|---|---|
| Former Name | KRISTINE EMALINE TATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A106633) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: WA MD60592175) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: CA A106633) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60592175) | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2019-08-23 |