| NPI | 1750776084 |
|---|---|
| Former Name | KATHERINE HYEON CAVALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: OR MD203604) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WI 67901-20) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2021-06-22 |