| NPI | 1518314756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 61263834) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MT 104841) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD204054) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2023-08-11 |