| NPI | 1891290763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD481976) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2085R0001X Radiology, Radiation Oncology (Licence: PA MT215439) | |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2023-08-07 |