| NPI | 1467618637 |
|---|---|
| Former Name | CARA A HEDDAEUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: OH 34.11225) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MI 5101017733) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2014-07-17 |