| NPI | 1891145231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD460508) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2018-03-20 |