| NPI | 1851895718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX U1057) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2019022200) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX U1057) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2024-01-20 |