| NPI | 1154942944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 208600000) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 343199) | |
| Enumeration Date | 2020-05-03 |
| Last Update Date | 2026-06-04 |