NPI | 1750918504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: MA 1021701) |
Additional Taxonomies | 208600000X Surgery (Licence: MA 285410) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-23 |
Last Update Date | 2025-04-21 |