| NPI | 1841652179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 89246) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 57.245007) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 63792) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2021-07-22 |