| NPI | 1396943643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471M2300X Radiologic Technologist, Mammography (Licence: CA RHM 83688) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: WA RT00005413) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |