| NPI | 1437763620 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: AZ CRT-72486)  | 
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: PR 659494)  | 
| Enumeration Date | 2020-09-03 | 
| Last Update Date | 2020-09-03 |