| NPI | 1609067750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 077667) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: LA MD.200356) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 21442) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA 200356) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2019-05-06 |