| NPI | 1477177640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD.MD.61231975) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 12439655-1205) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2022-02-02 |