| NPI | 1023491263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 76663) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 43823) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2025-08-25 |