| NPI | 1841783073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 74951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215175) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 63049) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-06-16 |