NPI | 1285933838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101254304) |
Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: VA 0101254304) |
208D00000X General Practice (Licence: VA 0101254304) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-03-22 |
Last Update Date | 2023-08-04 |