NPI | 1164448973 |
---|---|
Former Name | JULIA ANN KREAGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 39962) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: VA 0101270533) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2023-04-27 |