| NPI | 1770718215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: TX 346401) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: TX 23402) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |