| NPI | 1891288973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA A183587) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2085B0100X Radiology, Body Imaging (Licence: GA 98030) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2024-03-05 |