| NPI | 1982864518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301515318) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1020008) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD15685) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 148672) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2010-01290) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2025-12-05 |