NPI | 1285052449 |
---|---|
Former Name | BROOKE K COLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: GA 92972) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: KY 51962) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2022-09-07 |