NPI | 1497071898 |
---|---|
Former Name | HOLLIE CHRISTINA WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.126095) |
Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: KY 50792) |
2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.126095) | |
Enumeration Date | 2010-04-12 |
Last Update Date | 2024-06-04 |