| NPI | 1467680603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 262744) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 240185) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 240185) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2021-06-07 |