NPI | 1861838443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2015-00771) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 192869) |
Enumeration Date | 2013-05-22 |
Last Update Date | 2023-04-14 |