| NPI | 1649221235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX M4795) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M4795) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP50020819) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-06-23 |