| NPI | 1851607675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471M2300X Radiologic Technologist, Mammography (Licence: AZ CMT-2739) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: AZ CRT-13822) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |