| NPI | 1134788854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) (Licence: UT 14225369-1205) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2025-06-16 |