| NPI | 1134563869 |
|---|---|
| Former Name | MATTHEW BAKER MOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 73851-20) |
| Additional Taxonomies | 2085N0700X (Licence: NY 320087) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2026-04-20 |