| NPI | 1619122405 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: 147283) | 
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: FL crt9244) | 
| 2471M2300X Radiologic Technologist, Mammography (Licence: 147283) | |
| Enumeration Date | 2008-11-21 | 
| Last Update Date | 2008-11-21 |