| NPI | 1699095703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301097982) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD457655) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2022-07-21 |