| NPI | 1649704180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 288280) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 288280) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2023-04-06 |