NPI | 1982876397 |
---|---|
Former Name | KERRY BRIDGET LEMKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: IL 036115744) |
Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: NM MD20250110) |
2085R0202X Radiology Diagnostic Radiology (Licence: NM MD20250110) | |
Enumeration Date | 2008-03-25 |
Last Update Date | 2025-02-07 |