| NPI | 1699628669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: ID 1040250) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: ID 1040250) |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: ID 1040250) | |
| Enumeration Date | 2026-02-18 |
| Last Update Date | 2026-02-18 |