| NPI | 1700229523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2019-0202) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036.146054) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS12345) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2019-05-21 |