| NPI | 1699942011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: 06 WA 1235) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: OR 106318) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-10-13 |