| NPI | 1063711380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: GA 435024) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: 435024) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2014-09-02 |