| NPI | 1699902569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 55404) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 249947) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WI 975) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2022-07-21 |