| NPI | 1801214366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: FL ME155440) |
| Additional Taxonomies | 208600000X Surgery (Licence: ND RL13791) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT217149) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2022-06-09 |