| NPI | 1972869451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: OH 35.132868) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 269884) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2022-07-21 |