NPI | 1902290810 |
---|---|
Former Name | MEGHAN MARIE PATZKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: OH 35.137602) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: ND 21617) |
Enumeration Date | 2015-03-28 |
Last Update Date | 2024-12-24 |