| NPI | 1174805618 |
|---|---|
| Former Name | REBECCA K GROTEWIEL-TROTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101261775) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 63908) |
| 208D00000X General Practice (Licence: VA 0101261775) | |
| Enumeration Date | 2011-09-11 |
| Last Update Date | 2024-03-14 |