| NPI | 1528260387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3402X Radiologic Technologist Radiography (Licence: FL CRT60527) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist Radiography (Licence: FL 389125) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |