| NPI | 1679703730 |
|---|---|
| Former Name | SARA E. BECKHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01075465A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125-056487) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2016-01-21 |