| 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 |