| NPI | 1528092632 |
|---|---|
| Former Name | KRISTINE S. SHACKLETON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 36861) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C148554) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-04-15 |