| NPI | 1144514308 |
|---|---|
| Former Name | ASHLEY ROBIN ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.130067) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 63720) |
| 2085B0100X Radiology, Body Imaging (Licence: OH 35.130067) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2021-08-24 |