NPI | 1992800023 |
---|---|
Other Name | KATHLEEN KELVIE DALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: OR MD16307) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD00027979) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2007-07-08 |