| NPI | 1366858177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 61739) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: KS 05-42146) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: NE 2011) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: HI DOS-1974) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0005246) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2022-12-09 |