| NPI | 1639663388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 276699) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 289815) |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2024-05-29 |