| NPI | 1962023788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101285685) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 69830) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2025-06-30 |