| NPI | 1003348673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0205X Radiology, Radiological Physics (Licence: MI 4301507021) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2023-08-08 |