| NPI | 1467076851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301507916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351046723) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351046723) | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2025-06-30 |