| NPI | 1134657471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-47907) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 64175) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2023-06-25 |