| NPI | 1255869004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 291958) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MA D92038) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2024-01-12 |