| NPI | 1790132124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T7607) |
| 208D00000X General Practice (Licence: TX T7607) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2023-09-28 |