| NPI | 1992966980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2020-01025) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD14258) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: RI 14258) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301092708) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2020-09-12 |