| NPI | 1376527564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: NY 136560) |
| Additional Taxonomies | 2471B0102X Radiologic Technologist, Bone Densitometry (Licence: NY 136560) |
| 2471M2300X Radiologic Technologist, Mammography (Licence: NY 136560) | |
| 2471S1302X Radiologic Technologist, Sonography (Licence: NY 136560) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2012-02-14 |