| NPI | 1184807901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: TX MRA02000005) |
| Additional Taxonomies | 243U00000X Radiology Practitioner Assistant (Licence: 06TX1222) |
| 2471C3402X Radiologic Technologist, Radiography (Licence: 307476) | |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2023-04-14 |