| NPI | 1770018301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 13346738-1205) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A176140) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2023-10-05 |