| NPI | 1598721755 |
|---|---|
| Former Name | STEPHANIE ELAINE SUMMERS, KUELING, DEGIUSTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: OK 3749) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NM A-2464-21) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2023-08-15 |