| NPI | 1861785388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2017-00485) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NC 2017-00485) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NV 27504) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 2017-00485) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2025-07-15 |