| NPI | 1396184628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: NC 2021-00104) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MA 270800) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 270800) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2021-00104) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2023-03-10 |