NPI | 1801385893 |
---|---|
Former Name | VICTORIA ASHLEY ARENDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2024-00561) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A163764) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 2024-00561) | |
Enumeration Date | 2018-05-04 |
Last Update Date | 2024-08-07 |