| NPI | 1013214899 |
|---|---|
| Former Name | LISA MARIE BOYD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: TX 351074) |
| Additional Taxonomies | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: TX 351074) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |