| NPI | 1699191106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: LA 011352) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: LA 2960) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |