| NPI | 1144517137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A140311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 249298) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2021-06-06 |