NPI | 1861784860 |
---|---|
Former Name | KRISTINA ELIZABETH BRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: CA A125036) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A125036) |
2085R0202X Radiology, Diagnostic Radiology (Licence: CA A125036) | |
Enumeration Date | 2011-05-09 |
Last Update Date | 2024-04-09 |