| NPI | 1598873663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist Magnetic Resonance Imaging (Licence: 240876) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: FL 050748) |
| 2471M2300X Radiologic Technologist Mammography (Licence: 240876) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2008-03-25 |