| NPI | 1780174979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: MN 495957) |
| Additional Taxonomies | 2471B0102X Radiologic Technologist, Bone Densitometry (Licence: MN 495957) |
| 2471M2300X Radiologic Technologist, Mammography (Licence: MN 495957) | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |