| NPI | 1972009058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX U7024) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 72937) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-12-30 |