NPI | 1528032604 |
---|---|
Former Name | DIANE KAY HUNTINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 2008-01875) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101041788) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2017-08-30 |