| NPI | 1184972192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: FL CRT 74761) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: TX 102291) |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2012-08-22 |