| NPI | 1134307788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471M2300X Radiologic Technologist, Mammography (Licence: TX M00602) |
| Additional Taxonomies | 2471B0102X Radiologic Technologist, Bone Densitometry (Licence: TX R23657) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |