| NPI | 1568952752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: MN 484371) |
| Additional Taxonomies | 2471B0102X Radiologic Technologist, Bone Densitometry (Licence: MN 484371) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-06-16 |