NPI | 1871913160 |
---|---|
Former Name | STACEY MARIE SCHRIBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 35.136498) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.024996) |
2085P0229X Radiology, Pediatric Radiology (Licence: KY 53810) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT208228) | |
Enumeration Date | 2014-04-24 |
Last Update Date | 2023-11-06 |