| NPI | 1508256835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0102207349) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA12835400) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 201602130) | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2026-06-01 |