| NPI | 1902953870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD39207) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 42214) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2022-03-16 |