| NPI | 1659579860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist Magnetic Resonance Imaging (Licence: 163898) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: AR RT66) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |