| NPI | 1285849646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N6488) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR LL16287) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OR 28093) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2011-10-03 |