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 |