| NPI | 1235289026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: AR RTL6787) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist Radiography (Licence: 399778) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |