| NPI | 1548607021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 256456) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MA 274585) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 201143) | |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2018-06-27 |