| NPI | 1306266903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036151313) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 0444275) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KS 9408415) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2021-01-25 |