| NPI | 1417667114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: OH 433896) |
| Additional Taxonomies | 225500000X Specialist/Technologist (Licence: OH 433896) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |