| NPI | 1114194750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P1372) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI 18330) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101254985) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2016-07-07 |