| NPI | 1437362035 |
|---|---|
| Former Name | KATHLEEN ELYN SCHROEDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 3970) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101016080) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2021-11-22 |