NPI | 1205810918 |
---|---|
Former Name | MARSHA SLAUGHTER ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: WV 17637) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME162765) |
2085R0202X Radiology Diagnostic Radiology (Licence: KY 37142) | |
2085R0202X Radiology Diagnostic Radiology (Licence: OH 35.080733) | |
Enumeration Date | 2005-12-06 |
Last Update Date | 2024-04-18 |