| NPI | 1821792144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.082291) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.082291) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2024-06-27 |