| NPI | 1376962068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: OR MD198169) |
| Additional Taxonomies | 2085D0003X Radiology Diagnostic Neuroimaging (Licence: OR MD198169) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2020-05-12 |