| NPI | 1538450325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: UT 10814093-1205) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: MA 270138) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MA 270138) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2021-10-19 |