| NPI | 1376112607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: CT 80946) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2023-06-09 |