| NPI | 1669868741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: CO DR.0066752) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: OR PG200148) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 060646844) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2021-09-22 |