| NPI | 1093331159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD20358) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 284622) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1026285) | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2026-03-12 |