| NPI | 1205121795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PR 018674) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NY 278055) |
| 208600000X Surgery (Licence: PA MT200237) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 278055) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2020-04-23 |