| NPI | 1184815011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 339666) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: LA 339666) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A112667) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA 201048) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2024-02-06 |