| NPI | 1174720502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 243U00000X Radiology Practitioner Assistant |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: TX 12626) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2009-01-21 |