| NPI | 1336464270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX A142415) |
| Enumeration Date | 2010-04-04 |
| Last Update Date | 2018-10-03 |