| NPI | 1417914169 |
|---|---|
| Former Name | KIMBERLY JOYCE CONNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A82906) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.201698) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME98611) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 042-0011349) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 35237) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2018-09-20 |