| NPI | 1720260896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 49838) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 81007) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 67427) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2020-09-08 |