| NPI | 1700439189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 712745) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 27775) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2025-11-07 |