| NPI | 1114903408 |
|---|---|
| Former Name | MARY SUSAN KIERNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME160068) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 221036) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CT 73511) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 93575) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036162392) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WV 32001) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01088585S) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: KY 57545) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NV 22985) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NM MD2022-1387) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 319318) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 35.146692) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: SC 89080) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX U0168) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MA 221036) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2023-03-07 |