| NPI | 1013318948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: GA 05GA1152) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: GA 154792) |
| 2471M2300X Radiologic Technologist, Mammography (Licence: GA 154792) | |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |