| NPI | 1134383441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 64985) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2013-00439) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 256406) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT193219) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2020-08-21 |