| NPI | 1386064525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2020020182) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 53689) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2020-07-29 |