| NPI | 1396955902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P0685) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX bp10026182) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-05-09 |