| NPI | 1598227316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.074780) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2085N0700X Radiology, Neuroradiology (Licence: CA 192847) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-02-06 |