| NPI | 1063968733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471N0900X Radiologic Technologist, Nuclear Medicine Technology (Licence: LA 011342) |
| Additional Taxonomies | 2471N0900X Radiologic Technologist, Nuclear Medicine Technology (Licence: LA 3374) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |