NPI | 1750733697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 271429) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 63785) |
Enumeration Date | 2016-07-03 |
Last Update Date | 2017-11-09 |