| NPI | 1801807201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: 314047) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: 314047) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |