| NPI | 1184821605 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: CA RHM00045991) | 
| Additional Taxonomies | 2471M2300X Radiologic Technologist, Mammography (Licence: CA RHM00045991) | 
| Enumeration Date | 2007-06-28 | 
| Last Update Date | 2025-09-11 |