| NPI | 1619992443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: FL 62662) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: 327748) |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: 327748) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |