| NPI | 1811666324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: VA 0120008814) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |