| NPI | 1114676681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 49709) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME163855) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2024-10-14 |