NPI | 1598184293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A160480) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 63507) |
Enumeration Date | 2014-04-09 |
Last Update Date | 2019-06-19 |