| NPI | 1184990350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 272159) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CO DR.0058353) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX TMB PIT BP10043074) | |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2023-09-20 |