| NPI | 1780317032 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2471M2300X Radiologic Technologist, Mammography | 
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography | 
| Enumeration Date | 2022-07-05 | 
| Last Update Date | 2022-07-05 |