| NPI | 1285286054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: FL ME171599) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2025-01-17 |