| NPI | 1326246307 |
|---|---|
| Former Name | KIMBERLY LANDAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0065938) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD034460) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101235413) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2012-12-06 |