| NPI | 1215192067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: TX 11952) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: TX 11952) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |