| NPI | 1124276282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: NY 000142) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: NY 956080) |
| 2471M2300X Radiologic Technologist Mammography (Licence: NY 956080) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-10-01 |