| NPI | 1952545923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD165494) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 50087) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2015-08-26 |