| NPI | 1528597655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD19431) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 291594) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2023-09-19 |