| NPI | 1386176485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA A185921) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: LA 341138) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2026-07-01 |