| NPI | 1205075421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other (Licence: TN CTA0000000761) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist Radiography (Licence: TN CXT0000000596) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |