NPI | 1477040350 |
---|---|
Former Name | REBECCA NICOLE MANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC LL82806) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-04-17 |
Last Update Date | 2023-06-28 |