| NPI | 1053587899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60271805) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2010-01759) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 141595) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2017-04-11 |