| NPI | 1356597132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: LA 6594) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: LA 3322) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |