| NPI | 1023216512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: NY 724432) |
| Additional Taxonomies | 2471M2300X Radiologic Technologist, Mammography (Licence: NY 724432) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-09 |