| NPI | 1588616783 |
|---|---|
| Former Name | AMY B MATZELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 22431) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD-23631) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX U2080) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-10-10 |