| NPI | 1043536170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: PA 428980) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: NY 840930) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-04-14 |