| NPI | 1790005817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D95012) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist Sonography (Licence: MD 137376) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2022-08-25 |