| NPI | 1669225579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver (Licence: GA 040817138) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: GA 352283) |
| 2085R0001X Radiology, Radiation Oncology (Licence: GA 352283) | |
| 2471C3401X Radiologic Technologist, Computed Tomography (Licence: GA 352283) | |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |