NPI | 1013484286 |
---|---|
Former Name | ANISSA WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: TX 99243) |
Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: TX 458493) |
Enumeration Date | 2018-10-25 |
Last Update Date | 2023-04-03 |