NPI | 1659359586 |
---|---|
Former Name | ALICE FRANCES BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00043540) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-12310) |
Enumeration Date | 2005-12-30 |
Last Update Date | 2019-10-02 |