| NPI | 1932305596 |
|---|---|
| Former Name | PATRICIA SIMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 250354) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MDR-5245) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N3249) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A108383) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2012-08-29 |