| NPI | 1386920767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: OR 08OR1342) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: OR 106240) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |