| NPI | 1437595931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: SC 82102) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ R3071) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-11 |
| Last Update Date | 2021-01-19 |