| NPI | 1912245101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: CO 467829) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: CO 467829) |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |