| NPI | 1518123231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: PA MD446777) |
| Additional Taxonomies | 2085N0700X (Licence: KY 55905) |
| 2085N0700X (Licence: KY TP315) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD446777) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35.087463) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2021-11-01 |