| NPI | 1578963492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471C3401X Radiologic Technologist Computed Tomography (Licence: CO 385057) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: CO 385057) |
| 2471M2300X Radiologic Technologist Mammography (Licence: CO 385057) | |
| 2471S1302X Radiologic Technologist Sonography (Licence: CO 151504) | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |