| NPI | 1285992552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 2018-01823) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 282599) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL 131940) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC 862255943) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2018-07-27 |