| NPI | 1528185535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: TN MX 0000004097) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN LPN0000057538) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |