| NPI | 1356559587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX N3266) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TX N3266) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2023-11-05 |