NPI | 1518561968 |
---|---|
Former Name | JAIME LYNN HARTLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: TX GMR00106351) |
Additional Taxonomies | 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) (Licence: TX GMR00106351) |
Enumeration Date | 2020-11-25 |
Last Update Date | 2020-11-25 |