| NPI | 1649486176 |
|---|---|
| Former Name | KATHERINE ANN HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 58.001646) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 53228-021) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 2160) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2015-07-15 |