| NPI | 1679511356 |
|---|---|
| Former Name | KAREN SUE STARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 37417) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 042-0011450) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01039349) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2021-07-08 |