| NPI | 1073017174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME146753) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2025039391) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0451790) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: KS 0451790) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2025039391) | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2025-12-17 |