NPI | 1902917909 |
---|---|
Former Name | KATHLEEN RENE TOZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: WI 100877) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00044066) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-07-07 |