| NPI | 1710248737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.149535) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 389422) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 63172) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2024-07-22 |