NPI | 1538667852 |
---|---|
Former Name | COURTNIE ANNE FERREIRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: AZ 17CO1245) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 17CO1245) |
Enumeration Date | 2018-02-01 |
Last Update Date | 2021-09-16 |