| NPI | 1316198252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08704100) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT xxxxxxxxxx) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2022-11-11 |