| NPI | 1952590119 |
|---|---|
| Former Name | MICHELLE TOWNSEND- WATTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD046095) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D71109) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 239756) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2020-03-13 |