| NPI | 1972943249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD MD210001571) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: VA 0101269066) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MS 887-L) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2022-01-27 |