| NPI | 1104358852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NH 23023) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: IL 125.071787) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2022-09-16 |