NPI | 1326001835 |
---|---|
Former Name | CYNTHIA LEE GIERKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD156301) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME133776) |
Enumeration Date | 2006-04-07 |
Last Update Date | 2025-09-24 |