| NPI | 1285832121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A22972) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME DO3548) |
| 2471C1101X Radiologic Technologist, Cardiovascular-Interventional Technology (Licence: NJ 641841) | |
| 2471C1101X Radiologic Technologist, Cardiovascular-Interventional Technology (Licence: AZ 13448) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2024-11-05 |