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 |