NPI | 1790063667 |
---|---|
Former Name | JOANNA W KEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME133166) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD15372) |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME133166) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: RI MD15372) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-07-26 |
Last Update Date | 2022-07-21 |