NPI | 1164658209 |
---|---|
Former Name | KRISTEN M O'DONNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WA MD60444423) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR LL18588) |
Enumeration Date | 2009-06-03 |
Last Update Date | 2018-07-30 |