| NPI | 1588825590 |
|---|---|
| Former Name | ANNA LEIGH SHADID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: OK 26507) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TX Q5670) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2023-10-17 |