| NPI | 1083143309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: GA 91984) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 60556) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-05-25 |