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 |