NPI | 1184634586 |
---|---|
Former Name | DENISE KATHLEEN SCHROEDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX K3002) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A74394) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2015-02-11 |