NPI | 1073074753 |
---|---|
Former Name | KRISTIN LENORE DAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA OS023613) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT019072) |
Enumeration Date | 2019-03-26 |
Last Update Date | 2024-06-14 |