| NPI | 1912950130 |
|---|---|
| Former Name | PATSY ANN NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SD 1587) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 41347) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 23472) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-03-25 |