| NPI | 1174866701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744R1102X Specialist, Research Study (Licence: PA ACRP) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: PA 100837) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |