| NPI | 1619506318 |
|---|---|
| Former Name | MARY ELIZABETH ABKEMEIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.07793) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0077126) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2026-03263) | |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2026-06-05 |