| NPI | 1184024523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: GA 42862) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: OH 167950) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |