| NPI | 1649473109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR0053724) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A107587) |
| 2085B0100X Radiology, Body Imaging (Licence: CA A107587) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P2384) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116016379) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA09052900) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2025-12-11 |