NPI | 1245525138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: SC 40695) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL Trn17502) |
Enumeration Date | 2011-06-18 |
Last Update Date | 2022-07-21 |