NPI | 1851888275 |
---|---|
Former Name | EVELYN VIEIRA SANTOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101281737) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2024-00767) |
2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.139854) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-20 |
Last Update Date | 2024-05-28 |