NPI | 1992210850 |
---|---|
Former Name | JESSICA DEYANIRA IZQUIERDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: CA RHF00087758) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA RHF00087758) |
Enumeration Date | 2017-12-13 |
Last Update Date | 2017-12-13 |