| NPI | 1851753073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2021-01322) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0102207280) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC LL39782) | |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2023-04-27 |