| NPI | 1356488605 |
|---|---|
| Former Name | KIMBERLY ANN HAWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO DR.50065) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA 112555) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-03-31 |