NPI | 1427369537 |
---|---|
Former Name | JAMIE LYNN DOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 2016-00445) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL32939) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NC 20160045) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: VA 0101252259) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-06-24 |
Last Update Date | 2023-04-28 |