NPI | 1902149339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WA MD61367722) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 71150) |
2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0116025756) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: LA 336448) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WA MD61067485) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-03 |
Last Update Date | 2024-04-25 |