NPI | 1144249467 |
---|---|
Former Name | SHARON RENEE RANSOM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD28426) |
Additional Taxonomies | 174400000X Specialist (Licence: OH 35085750) |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD428648) | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2008-12-10 |