| NPI | 1023393055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: TX 95857) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: TX 95857) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |