| NPI | 1104269760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NJ 25MA10632800) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD61115695) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-14 |
| Last Update Date | 2024-08-30 |