| NPI | 1982864518 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD15685)  | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2010-01290)  | 
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1020008)  | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 148672)  | |
| Enumeration Date | 2008-06-17 | 
| Last Update Date | 2024-07-26 |