NPI | 1386955516 |
---|---|
Former Name | AMY REBECCA YACTOR NIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0055337) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD18919) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NE 29568) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-39427) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: TX P6300) | |
Enumeration Date | 2010-06-22 |
Last Update Date | 2024-03-31 |