NPI | 1598968265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2471M2300X Radiologic Technologist, Mammography (Licence: KY 1209004475) |
Additional Taxonomies | 2471M2300X Radiologic Technologist, Mammography (Licence: MN 085640) |
2471M2300X Radiologic Technologist, Mammography (Licence: IN XT014815) | |
Enumeration Date | 2007-06-08 |
Last Update Date | 2007-07-08 |