| NPI | 1689673212 |
|---|---|
| Former Name | DEBRA L ACORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 64913) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MT 11277) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2015-12-23 |