NPI | 1477917888 |
---|---|
Former Name | JORDAN MAE WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2021-00426) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: NC 2021-00426) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-12 |
Last Update Date | 2024-09-24 |