| NPI | 1710246137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: DC MTL000140) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2013-07-30 |