| NPI | 1679914220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: NY 7917287) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: NY 111056) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |