| NPI | 1194222554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IA MD-51385) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: WI 73632-20) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2023-11-06 |