| NPI | 1235626714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: AZ 339584) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: AZ 9818) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |