| NPI | 1588009104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AL MD.34264) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MS 25791) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2019-06-04 |