| NPI | 1467897793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q3452) |
| Additional Taxonomies | 2085N0700X (Licence: TX Q3452) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 02037546) | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2022-09-26 |