| NPI | 1609194596 |
|---|---|
| Former Name | CHRISTINA LOUISE BLUME WIEGAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 50602) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD461741) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2022-12-13 |