| NPI | 1164750444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471M2300X Radiologic Technologist, Mammography (Licence: CO 262502) |
| Additional Taxonomies | 2471B0102X Radiologic Technologist, Bone Densitometry (Licence: CO 262502) |
| 247100000X Radiologic Technologist (Licence: CO 262502) | |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |