NPI | 1033505961 |
---|---|
Former Name | AMBER BURKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 4301504685) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301504685) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-07 |
Last Update Date | 2024-02-21 |