| NPI | 1801092119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 45747) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT190102) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0054036) | |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2024-01-09 |