| NPI | 1356630073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: OR MD206542) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: UT 10266667-1205) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2021-11-03 |