| NPI | 1598778961 |
|---|---|
| Former Name | KIMBERLEY BROOKE KASPEROWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 37255) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 220649) |
| 2085B0100X Radiology, Body Imaging (Licence: IA 37255) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: IA 37255) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-11-27 |