| NPI | 1528715364 |
|---|---|
| Former Name | SAMANTHA HUTCHESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085U0001X Radiology Diagnostic Ultrasound (Licence: TN 194568) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TN 533831) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |