| NPI | 1083877278 |
|---|---|
| Former Name | STACEY A TROTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CT 052849) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 052849) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2022-11-14 |