| NPI | 1295872562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CO 051894) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 68811864-1205) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-1241) | |
| 2085N0700X Radiology, Neuroradiology (Licence: UT 6881864-1205) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2021-05-14 |