| NPI | 1710103866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 49908) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 22679) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P6750) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 264889) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2013-09-18 |