| NPI | 1508021460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME109019) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME109019) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2023-02-27 |