| NPI | 1407059769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME 116495) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301089949) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME116495) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.015694) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2017-05-15 |