| NPI | 1528106085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: VA 0101247237) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD VO256) |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2025-02-19 |