NPI | 1780815753 |
---|---|
Former Name | KATE LOUISE MORENG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: TX Q4192) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q4192) |
Enumeration Date | 2009-08-07 |
Last Update Date | 2023-08-29 |