| NPI | 1629775291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471C3402X Radiologic Technologist Radiography (Licence: TN 10289) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-14 |