| NPI | 1932442415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG218962) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-9639) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R6745) | |
| 207Q00000X Family Medicine (Licence: TX R6745) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2024-06-03 |