| NPI | 1194982512 |
|---|---|
| Former Name | JENNIFER ELIZABETH ZOOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01069241A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11013748A) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2023-11-27 |