| NPI | 1851787618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2021-00909) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 61047) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2021-11-09 |