| NPI | 1215266994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: NY 415387) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: NY 415387) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |