| NPI | 1578772364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 20724) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 242502) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-09-15 |