NPI | 1922480581 |
---|---|
Former Name | CORY GLEASON ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 274635) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 274635) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 264069) | |
Enumeration Date | 2015-06-19 |
Last Update Date | 2020-06-05 |