| NPI | 1336590934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME164316) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T6646) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2023-10-27 |