NPI | 1720421381 |
---|---|
Former Name | JAMIE CATHERINE CARLYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SD 11538) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 58495) |
Enumeration Date | 2013-04-14 |
Last Update Date | 2025-04-11 |