| NPI | 1619339850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD477605) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 309561) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA11474600) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME161054) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0025071) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2024-02-17 |