| NPI | 1710516539 |
|---|---|
| Former Name | MADISON E LOONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 87268-20) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2025048621) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2026-06-17 |