| NPI | 1437592995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ME MD22625) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 02170) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2024-08-01 |