| NPI | 1487907598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: MA 14523) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: MA 14523) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |