NPI | 1932337037 |
---|---|
Former Name | ASHLEY MARIE KITTLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 1274) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC LL1274) |
Enumeration Date | 2009-06-26 |
Last Update Date | 2014-06-23 |