| NPI | 1689792202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: TX 2649) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: FL CRT64592) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2015-07-02 |