| NPI | 1881040384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA MD479346) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MTL004435) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME159815) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2024-03-05 |