| NPI | 1306072400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S4685) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35127104) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57015523) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2021-03-11 |