NPI | 1083856868 |
---|---|
Former Name | MICHELLE RIBEIRO YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A116870) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-03-25 |
Last Update Date | 2014-08-05 |