| NPI | 1326315359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: TX 225579) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: TX 15935) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |