NPI | 1851653513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: VT 042-0016915) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CA 149065) |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD466550) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT202180) | |
Enumeration Date | 2012-06-08 |
Last Update Date | 2023-07-17 |