| NPI | 1366560880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: MI 4301079723) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301079723) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2014-03-26 |