| NPI | 1902072341 |
|---|---|
| Former Name | KATHRYN GRANDFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD451029) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: RI C7-0003994) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: RI 13463) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2015-10-10 |