| NPI | 1376861450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MA 265396) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197395) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT197395) | |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2016-02-03 |