NPI | 1770902884 |
---|---|
Former Name | ALEXA PAIGE OLSZEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX S6231) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 7822) |
208600000X Surgery (Licence: TX 583077) | |
Enumeration Date | 2014-04-16 |
Last Update Date | 2023-11-17 |