| NPI | 1891987392 |
|---|---|
| Former Name | CARRYN M ENSRUDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: IA 37860) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: OH 57.007346) |
| 2085R0001X Radiology Radiation Oncology (Licence: OH 35.090977) | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2009-07-08 |