| NPI | 1609619956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: WA RT61292299) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: TX GMR00093519) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |