| NPI | 1417123860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist Magnetic Resonance Imaging (Licence: 355670) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: AR RT 4545) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |