NPI | 1083790760 |
---|---|
Former Name | ALICIA MARIE ONDREJECH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 57.253006) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50-002512) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2006-10-27 |
Last Update Date | 2022-05-10 |