| NPI | 1649637786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: 324087) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: AZ 13813) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |