| NPI | 1154983724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC MTL005324) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: DC MTL005324) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2020-06-30 |