| NPI | 1700134376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist Sonography (Licence: FL 141748) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist Sonography (Licence: FL 473276) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |