| NPI | 1003362211 |
|---|---|
| Former Name | JEANETTE CHRISTINE INGUI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: FL CRT54339) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: FL CRT54339) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |