| NPI | 1578852927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: VA 459164) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: VA 0120005949) |
| 2471C3401X Radiologic Technologist, Computed Tomography (Licence: AZ 15836) | |
| 2471C3401X Radiologic Technologist, Computed Tomography (Licence: HI 3288) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |