| NPI | 1902936669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD429646) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: PA MD429646) | |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: PA MD429646) | |
| 2085B0100X Radiology Body Imaging (Licence: PA MT184561) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-05-30 |