NPI | 1689136509 |
---|---|
Former Name | SARAH MIZRACHI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 080023) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1018140) | |
Enumeration Date | 2019-04-01 |
Last Update Date | 2025-08-12 |