| NPI | 1598298390 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: TX 207861) | 
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: TX 543171) | 
| Enumeration Date | 2017-04-07 | 
| Last Update Date | 2017-04-07 |