| NPI | 1396797049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A113766) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 1377) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 50117) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-11-02 |