NPI | 1407201643 |
---|---|
Former Name | SAMANTHA MARIE BITTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IN 01084725A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-04-25 |
Last Update Date | 2021-08-16 |