| NPI | 1174788558 |
|---|---|
| Former Name | CHRISTINE BARBARA WADDELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2018003074) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 45929) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME121610) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101254408) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2025-07-23 |