NPI | 1538144050 |
---|---|
Former Name | EVA JEANEAL SHARPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0056558) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD21048) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2012-11-02 |