| NPI | 1225316847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: NY 282850) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 0000000000) |
| Enumeration Date | 2011-07-31 |
| Last Update Date | 2021-04-09 |