| NPI | 1982864518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD15685) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2010-01290) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 148672) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2019-03-12 |