NPI | 1497929046 |
---|---|
Former Name | ALISON THERESE CHUDYK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: OH 35099948) |
Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: OH 57-013392) |
2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.099948) | |
Enumeration Date | 2008-04-15 |
Last Update Date | 2016-02-26 |