| NPI | 1700164928 |
|---|---|
| Former Name | ERICA M KNAVEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 60760-20) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 61100) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2021-03-18 |