| NPI | 1104890821 |
|---|---|
| Former Name | BEVERLEY MICHELOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CA C52407) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C52407) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2024-04-08 |