| NPI | 1992125611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2020-01237) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NC 2020-01237) |
| 2085N0904X Radiology, Nuclear Radiology (Licence: NC 2020-01237) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2023-01-26 |