NPI | 1326435264 |
---|---|
Former Name | LEANN MARIE SAGMEISTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME145855) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WV 33617) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-17 |
Last Update Date | 2024-08-12 |