| NPI | 1023543097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 2023-00003) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2023-00003) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57-029337) | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2023-12-05 |