| NPI | 1336302041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 16722) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT195736) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 254316) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 236733) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2014-08-22 |