| NPI | 1336415439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TX T6206) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301103091) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2023-04-24 |