| NPI | 1265647697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: AZ CRT-12676) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: NM RRT 3630) |
| 247100000X Radiologic Technologist (Licence: CA RHM 72399) | |
| 2471M2300X Radiologic Technologist, Mammography (Licence: CA RHM 72399) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2011-06-14 |