| NPI | 1306291166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1018129) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0075289) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 281122) | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2025-04-15 |