| NPI | 1740303429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: TX P1635) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: TX P1635) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2024-06-03 |