| NPI | 1528293263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: TX S0985) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 47475) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT BNDDANU294) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2019-08-16 |