| NPI | 1477814606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: PA MD460952) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY A6D) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2017-10-16 |