| NPI | 1093004400 |
|---|---|
| Former Name | KATHRYN VIRGINIA CANNADA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D76167) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 24892) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2017-04-17 |