| 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 |