| NPI | 1659831055 |
|---|---|
| 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: MA 290392) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2024-04-29 |