| NPI | 1275798456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471V0105X Radiologic Technologist Vascular Sonography (Licence: GA 46377) |
| Additional Taxonomies | 2471M2300X Radiologic Technologist Mammography (Licence: GA 296386) |
| Enumeration Date | 2008-07-27 |
| Last Update Date | 2008-07-27 |