NPI | 1548640428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T0331) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA ML60561603) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2024-01-26 |