| NPI | 1548603772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 60950141) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 259491) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 291193) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2019-07-03 |