| NPI | 1457337867 |
|---|---|
| Former Name | KAROLYN M DAVIDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 47884) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 52808) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2023-02-21 |