| NPI | 1578041828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: ID 376962) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX 172339) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |