| NPI | 1700229044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 298907-1) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NY 298907) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2023-04-18 |