NPI | 1952763005 |
---|---|
Former Name | DAN LIVINGSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD475028) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA FL1404603) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-27 |
Last Update Date | 2024-02-21 |