| NPI | 1316517147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: DC MD600001719) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: DC MTL2000282) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC MTL2000282) | |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2024-09-28 |