NPI | 1285139287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 75993) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 238854) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2024-02-21 |