| NPI | 1417222159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: CA 118451) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: TX 328220) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |