| NPI | 1255891305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CT 77600) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2024-06-03 |