| NPI | 1669252706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3401X Radiologic Technologist Computed Tomography (Licence: AZ CTCT-71131) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ CRT-06285) |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |