| NPI | 1639811490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OT022455) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2023-06-24 |