| NPI | 1417167859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N1980) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX bp10017277) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD0000046277) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-10-31 |