| NPI | 1285016964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2022-00171) |
| Additional Taxonomies | 2085N0700X (Licence: CA A167986) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A167986) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2023-02-02 |