NPI | 1386136091 |
---|---|
Former Name | DANIELLE THERESE MONN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01090318A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019927A) |
Enumeration Date | 2018-05-30 |
Last Update Date | 2023-06-19 |