| NPI | 1679992606 |
|---|---|
| Former Name | ALLISON OLIVIA BACKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 65237) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 1679992606) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0068262) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2024-11-12 |