| NPI | 1083175475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116038848) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A176854) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0007572) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-06-25 |