NPI | 1679962070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME145783) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125066348) |
208600000X Surgery (Licence: IL 125066348) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-01-22 |
Last Update Date | 2025-09-02 |