| NPI | 1861787335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 303225) |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: LA 303225) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2016-08-30 |