| NPI | 1265819791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 55324) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 327903) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2022-09-08 |