| NPI | 1588190763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: VA 0101274666) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA f3636497) |
| Enumeration Date | 2017-05-07 |
| Last Update Date | 2022-06-14 |