| NPI | 1720106693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA C143118) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301079982) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301079982) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2022-09-27 |