| NPI | 1295141703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: TN 4931) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: OH 34.012173) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2022-11-16 |