| NPI | 1750737029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: UT 115610-5401) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: UT 115610-5401) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |