| NPI | 1447637277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2021-02589) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101273155) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 86604) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD.61182962) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2025-10-01 |