| NPI | 1477849412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 285336) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2085B0100X Radiology, Body Imaging (Licence: NY 285336) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2016-10-17 |