| NPI | 1952643785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 289216-01) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: VA 0101266358) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 61323091) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2022-12-01 |