| NPI | 1255475133 |
|---|---|
| Former Name | JAIME L GRIMLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 262708) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD439236) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2018-05-22 |