| NPI | 1780876896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3402X Radiologic Technologist Radiography (Licence: AR RT1192) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR RT1192) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |