| NPI | 1033478037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 35685) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC LL35685) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN17184) | |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2022-12-01 |