| 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 |