NPI | 1497962773 |
---|---|
Former Name | GINGER PATTY HATFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 22487) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD438797) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2022-04-15 |