| NPI | 1245521426 |
|---|---|
| Former Name | ASHLEY MARISSA NITSCHKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-40021) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 65200) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2017013103) | |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2025-12-15 |