| NPI | 1669764940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: TX 343610) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: TX 23359) |
| 247100000X Radiologic Technologist (Licence: DE 7277) | |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |