| NPI | 1730649120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO TL.0008272) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2020-05-06 |