NPI | 1104387190 |
---|---|
Former Name | KORI MANSFIELD-HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: AR E-19252) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-19252) |
Enumeration Date | 2019-03-31 |
Last Update Date | 2025-06-12 |