| NPI | 1174710354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: NE 3521) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: IA 09785) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |