| NPI | 1033603139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036172035) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01094001A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL MD48889) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD24278) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2024-01667) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2024-10-03 |