| NPI | 1093126567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: WA XT60472548) |
| 3747A0650X Technician, Attendant Care Provider (Licence: WA NC60326425) | |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2014-05-18 |