| NPI | 1205015799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: AZ CRT-11450) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: AZ CRT-11450) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |