| NPI | 1053541771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 71942) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT195486) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2019-02284) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2024-02-05 |