| NPI | 1790377299 |
|---|---|
| Former Name | LATANYA MARVEL BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C3402X Radiologic Technologist Radiography (Licence: CA RHM00078473) |
| Additional Taxonomies | 2471M2300X Radiologic Technologist Mammography (Licence: CA RHM00078473) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |