| NPI | 1134539927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A139894) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2085P0229X Radiology, Pediatric Radiology (Licence: CA A139894) | |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2021-07-01 |