| NPI | 1316316748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: NY 949002) |
| Additional Taxonomies | 2471M2300X Radiologic Technologist, Mammography (Licence: NY 949002) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |