| NPI | 1053524330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: FL 290008) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: 239771) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |