| NPI | 1861925653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036163937) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125077249) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116031528) | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2023-11-13 |