| NPI | 1275949414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME146031) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD16645) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME146031) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: RI MD16645) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN20199) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2023-03-28 |