| NPI | 1215094149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301097870) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VT BF4323200FL) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2011-03-09 |