| NPI | 1366685182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: MD R0007873) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: WV 8287) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-04-09 |