| NPI | 1164080925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD19713) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 290425) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2024-03-18 |