| NPI | 1881852630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: VA 150305) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: FL crt55220) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |