| NPI | 1689885717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: MT 1397) |
| Additional Taxonomies | 2471M2300X Radiologic Technologist Mammography (Licence: MT 1397) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |