NPI | 1124196886 |
---|---|
Former Name | KARA J WATERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C194746) |
Additional Taxonomies | 174400000X Specialist |
2085B0100X Radiology, Body Imaging (Licence: ME EC-05-169) | |
Enumeration Date | 2006-12-01 |
Last Update Date | 2024-04-23 |