NPI | 1902105422 |
---|---|
Former Name | SARA SMOLINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 277078) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301098524) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-03-23 |
Last Update Date | 2019-08-03 |