| NPI | 1043630486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: AZ CRT-17124) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: ARRT 399000) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |