| NPI | 1396265344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X (Licence: IL 036.164621) |
| Additional Taxonomies | 2085N0700X (Licence: MI 4301509712) |
| 2085N0700X (Licence: RI MD19329) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.164621) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2025-02-03 |